Rheumatology

Rheumatology

Having a history of almost four decades in our country, the rheumatology department deals with diagnosis and treatment of inflammatory rheumatic diseases. Inflammatory rheumatic diseases are characterized by both articular (related to joints) and extra-articular problems.

Rheumatology Clinic deals with below mentioned diseases:

I. Rheumatoid arthritis

II.Spondyloarthritis

  • Ankylosing spondylitis
  • Psoriatic arthritis
  • Enteropathic arthritis (joint disorder secondary to Chron’s disease and ulcerative colitis)
  • Reactive arthritis

III. Gout and other crystalline arthrides

IV.Connective tissue diseases

  • Systemic lupus erythematosus
  • Sjögren syndrome
  • Scleroderma
  • Inflammatory myositides
  • Polymyositis
  • Dermatomyositis

V.Behçet’s disease

VI.Familial Mediterranean Fever (FMF)

VII. Vasculitides

  • Wegener’s granulomatosis
  • Churgh-Strauss Syndrome
  • Microscopic polyangiitis
  • Henoch-ScönleinVasculitis
  • Polyarteritis Nodosa
  • Takayasu’s arteritis
  • Giant cell vasculitis

In addition to these diseases, patients frequently present to Rheumatology Clinic for treatment of osteoarthritis, colloquially known as “wear and tear arthritis”, which is a non-inflammatory rheumatic disease, and fibromyalgia, which is a non-inflammatory muscle rheumatism. These diseases are followed-up jointly with physical medicine and rehabilitation clinic.

Common complaints regarding rheumatologic diseases are as follows:

I.Inflammation of joint

II.inflammatory low back pain

III. Complaints of patients with connective tissue disease

I.Inflammation of joint: Pain, swelling and sometimes redness may occur in the joints that are affected by rheumatic diseases. If this clinical picture of arthritis is not treated with an appropriate method in a timely manner, the condition may result in limited motion in joints and long-term disabilities. Arthritis may involve the small joints of the hands, wrist, elbow, shoulder, toes, ankle, knee and hip joint. All rheumatic diseases may cause inflammation of joints. However, the location and number of the involved joints may vary depending on the type of disease.

II. Inflammatory low back pain: Inflammatory low back pain is observed particularly in spondyloarthritides. These diseases involve the spine. Generally, patients are below 40 years of age. Insidious onset of low back-back pain is experienced. Patients wake up with low back pain in the morning and pain regresses with movement during the day. In some cases, hip pain may develop and can be changeable from one side to the other. Sometimes, pain may wake patients up at night and they may feel the need to move. Ankylosing spondilitis is the major disease in this group. If the condition is left untreated for a long time, it may progress to kyphosis.

III. Complaints of patients with connective tissue disease: Connective tissue diseases are rare, but associated with specific complaints. Complaints like dry mouth, dry eye, white discoloration and bruising of the hands in cold weather (Raynaud’s phenomenon), remarkable hair loss, intraoral wound, remarkable rashes around the cheeks, itching and various wounds with crust formation and mumps-like swelling in parotid may occur.


  • Internal Medicine
  • Rheumatology